It is the policy of Kingsbrook Jewish Medical Center to provide comprehensive
quality health care and medically essential services without regard to
a patient's ability to pay or their immigration status. Kingsbrook
Jewish Medical Center recognizes that there are times when patients in
need of medical care may have difficulty paying for the services provided.
Kingsbrook Jewish Medical Center's Financial Assistance Program provides
discounts to qualifying individuals based on your income. In addition,
we can help you apply for free or low-cost insurance if you qualify. Please
contact our Financial Counselor's at (718) 604-5499 or go to the Admissions
Department (Patient Access Services Department), Located in the Katz Building,
First Floor for free, confidential assistance.
Frequently Asked Questions
Who qualifies for a discount?
Kingsbrook Jewish Medical Center has implemented a Financial Assistance
Program which evaluates those who are underinsured, have exhausted their
insurance benefits or are fully uninsured. Current clinic patients without
adequate financial resources can receive care in our primary / specialty
clinics for fee schedules based on their income and family size. A determination
will be made if the patient is eligible for reduced fees. Non-Clinic patients
seen in the Emergency Department, Inpatient, or for Outpatient Services
can apply for assistance, based on financial need, through the Financial
Assistance process in Patient Accounts, Patient Access Services/Financial
Counseling or Ambulatory Care.
Everyone in New York State who needs emergency services can receive care
and get a discount if they meet the income limits. Any individuals residing
in Kingsbrook Jewish Medical Center's primary service area, which is defined
as: East Flatbush, Flatbush, Canarsie, Flatlands, Bedford-Stuyvesant,
Crown Heights and/or East New York (zip codes 11203, 11236, 11213, 11226,
11212, 11208, 11207, 11225, 11216), can get a discount on non-emergency,
medically necessary services at Kingsbrook Jewish Medical Center if they
meet the income limits. Kingsbrook Jewish Medical Center will never deny
medically necessary care because you may need financial assistance. You
may apply for a discount regardless of your immigration status.
What are the income limits?
The amount of the discount varies based on your income and the size of
your family. Kingsbrook Jewish Medical Center's Financial Assistance Program
is based upon up to 300% of the March 2010 Department of Health and Human
Services Federal Poverty Guidelines,
as listed here.
Can someone explain the discount? Can someone help me apply?
Yes, free, confidential help is available. Call Please contact our Financial
Counselor's at (718) 604-5526 or go to the Admissions Department (Patient
Access Services Department, Located in the Katz Building, First Floor
for free, confidential assistance. If you do not speak English, someone
will help you in your own language.
The Financial Counselor can tell you if you qualify for free or low-cost
insurance, such as Medicaid, Child Health Plus and Family Health Plus.
If the Financial Counselor finds that you don't qualify for low-cost insurance
or Medicaid, they will assist you in accessing the Medical Center's Financial
Assistance program for any applicable discounts, including helping you
with the appropriate forms and documentation requirements.
What do I need to apply for a discount?
Patients are requested to provide the following documentation, as available
or applicable, in order to be evaluated for Financial Assistance:
- Picture Identification
- Proof of Address (letter/bill mailed to the patient at their address)
- Income Tax 1040 (to verify dependents)
- Proof of income
- Four (4) most recent pay stubs (and/or)
- a letter from the patient's employer (and/or)
- a statement from the patient stating income (and/or)
- if the patient does not work, a letter from the person supporting them
If you can not provide any of these, you may still be able to apply for
What services are covered?
All medically necessary services provided by Kingsbrook Jewish Medical
Center are covered by the Financial Assistance Program. This includes
outpatient services, emergency care and inpatient admissions.
private doctors who provide services in the hospital may
not be covered by this program. You should talk to private doctors to see
if they offer a discount or payment plan.
How much do I have to pay?
The amount for outpatient service or the emergency room starts from $18.00
to $237.60, depending on your Financial Assistance qualification category.
Our Financial Counselor will give you the details about your specific discount(s)
once your application is processed.
How do I get the discount?
You have to fill out an application form. As soon as we have proof of your
income, we can process your application for a discount according to your
You can apply for a discount before you have an appointment, when you come
to the hospital to get care, or when the bill comes in the mail.
- Send the completed form and supporting documentation to our Financial Counselor's
in the Patient Access Services (Admissions) Department or bring it to
the Patient Access Services (Admissions) Department, located in the Katz
Building, First Floor.
How will I know if I was approved for the discount?
Kingsbrook Jewish Medical Center will send you a letter, within 30 business
days, after receipt of your completed application and supporting documentation,
telling you if you have been approved for Financial Assistance and the
level of discount you are eligible for.
What if I receive a bill while I'm waiting to hear if I can get a discount?
You cannot be required to pay a hospital bill while your application for
a discount is being considered. If your application is turned down, Kingsbrook
Jewish Medical Center will tell you why and provide you with a way to
appeal this decision to a higher level within the hospital.
What if I have a problem I cannot resolve with the hospital?
You may call the New York State Department of Health complaint hotline